- From 1999 to 2016, >200,000 people died in the U.S. from overdoses related to prescription opioids.
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The Journal Of Bone And Joint Surgery - Volume 100 - Issue 24 - p. 2162-2171
Hip Knee
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Opioids in Arthroplasty
Agrawal Yuvraj, Smith R. Malcolm, Garbuz Donald S., Masri Bassam A.Hip Knee
- Pain is a cognitive, emotional, and behavioral response to nociception. Maladaptive behaviors, such as pain catastrophizing, interfere with the patient’s ability to cope with pain.
- Less adaptive coping strategies such as catastrophic thinking lead to greater pain intensity for a given nociception.
- Preoperative or postoperative opioid use for a prolonged period is associated with a higher risk of dependency and death.
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Prolonged use of opioid medication in the perioperative period is also associated with revision surgery in arthroplasty.
- Family physicians and orthopaedic surgeons are urged to review their prescription practices; to develop guidelines for responsible prescription management, with upper limits set on opioids; and to have a clearly understood and agreed-on pain management program for each patient.
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